Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia.
Department of Psychological Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Ir J Med Sci. 2024 Apr;193(2):851-863. doi: 10.1007/s11845-023-03483-7. Epub 2023 Aug 9.
This study aimed to assess the determinants of burnout among healthcare providers in the primary care setting.
A web-based cross-sectional study was conducted among 1280 healthcare providers aged 18 years and older from 30 primary care clinics in Selangor, Malaysia. In this study, the Copenhagen Burnout Inventory was used to assess burnout. The results were analyzed using multiple logistic regression.
The prevalence of personal burnout was 41.7%, followed by work-related burnout (32.2%) and client-related burnout (14.5%). The determinants for personal burnout in this study were younger age, being a doctor, higher COVID-19 exposure risk, do not know where to seek help, inability to handle stress, poorer sleep quality score, higher total COVID-19 fear score, higher total stress score, and lower total BRS score. The determinants of work-related burnout were younger age, being a doctor, longer years of working, higher COVID-19 exposure risk, do not know where to seek help, lower altruistic score, poorer sleep quality score, higher total stress score, and lower total brief resilience score (BRS) score. The determinants of client-related burnout were doctor, single/divorced, more than one attachment site, and higher satisfaction toward the infection control, inability to handle stress, higher total depression score, and lower total BRS score.
Every fourth out of ten suffered from personal burnout, one-third from work-related burnout, and one-seventh from client-related burnout among healthcare providers during the COVID-19 pandemic. Healthcare systems must take care of healthcare workers' physical and emotional depletion, reducing the risk of burnout.
本研究旨在评估初级保健环境中医疗保健提供者倦怠的决定因素。
在马来西亚雪兰莪州的 30 个初级保健诊所中,对 1280 名年龄在 18 岁及以上的医疗保健提供者进行了一项基于网络的横断面研究。在这项研究中,使用哥本哈根倦怠量表评估倦怠。使用多因素逻辑回归分析结果。
个人倦怠的患病率为 41.7%,其次是与工作相关的倦怠(32.2%)和与客户相关的倦怠(14.5%)。本研究中个人倦怠的决定因素是年龄较小、是医生、较高的 COVID-19 暴露风险、不知道在哪里寻求帮助、无法应对压力、睡眠质量评分较差、较高的总 COVID-19 恐惧评分、较高的总压力评分和较低的总 BRS 评分。与工作相关的倦怠的决定因素是年龄较小、是医生、工作年限较长、较高的 COVID-19 暴露风险、不知道在哪里寻求帮助、利他主义评分较低、睡眠质量评分较差、总压力评分较高和总 BRS 评分较低。与客户相关的倦怠的决定因素是医生、单身/离婚、有一个以上的依恋点和更高的感染控制满意度、无法应对压力、较高的总抑郁评分和较低的总 BRS 评分。
在 COVID-19 大流行期间,每十分之四的医疗保健提供者中就有一人遭受个人倦怠,三分之一的人遭受与工作相关的倦怠,七分之一的人遭受与客户相关的倦怠。医疗保健系统必须照顾医疗保健工作者的身体和情绪消耗,降低倦怠的风险。